Case Presentation: A 69-year-old male with prostate cancer in remission developed diplopia 2 weeks prior to presentation. Workup at the referring hospital included a normal ophthalmologic exam and an MRI brain with possible mastoiditis and/or otitis media. A course of unknown oral antibiotics was completed. He had no improvement of his diplopia and progressed to [...]

Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated [...]

Case Presentation: A 32-year-old female with a history of recent uncomplicated vaginal delivery (3 weeks prior, G7P6A1) was brought in following cardiac arrest. She had been running errands with family when she developed seizure-like activity prior to arresting. Cardiopulmonary resuscitation was not initiated until emergency medical services arrived 15 minutes after the event. Patient arrived [...]

Case Presentation: Demanding prompt evaluation, carotid-cavernous sinus fistula (CCF) is a rare etiology of the “red eye.” Despite the risk for vision loss, this diagnosis can be missed due to its subtle and nonspecific presentation. We present the case of progressively worsening conjunctivitis and exophthalmos in an elderly woman following a fall who was found [...]

Case Presentation: Syphilis manifestations are widespread, varying with stage and type of visceral involvement. Our detailed understanding of its natural history comes from the pre-antibiotic era and sources like the Tuskegee study. Herein we present a case of complete heart block in a patient with aortic dilation who was subsequently diagnosed to have neurosyphilis during [...]

Case Presentation: A 37 year old man with history of alcohol abuse presented to the emergency department for a one month history of jaundice, nausea, vomiting and weight loss. Physical exam was significant for mild diffuse abdominal tenderness and jaundice. Labs were remarkable for a total bilirubin of 34.1, direct 17.5, alkaline phosphatase of 203, [...]

Case Presentation: A 21-year-old female with a history of remitting-relapsing MS, and primary adrenal insufficiency presented with fever of three days duration, followed by acute chest pain, and shortness of breath. The patient had been started on her second cycle of alemtuzumab infusion two days prior to presentation. Initial blood work was remarkable for leukocytosis. [...]

Case Presentation: A morbidly obese 61-year-old man with coronary artery disease presented for evaluation of exertional dyspnea. No chest pain was reported. Transthoracic echocardiogram and pulmonary function tests were normal, but his dyspnea persisted. Lifestyle modifications and inhaler trials failed to improve his dyspnea. Left and right coronary angiography were completed. A 90% stenosis of [...]

Case Presentation: A 54-year-old morbid obese female presented to the hospital with sudden-onset heart palpitations and skin paresthesia a few hours after taking a new medication she was prescribed for weight loss, bupropion/naltrexone 180/16mg once daily. The patient had a history of anxiety, for which she was prescribed citalopram 40 mg once daily. Upon her [...]

Case Presentation: 51 year old female with past medical history notable only for recent knee pain with intermittent NSAID use presented with melenic stools and one episode of coffee ground emesis.On presentation she was tachycardic and hypotensive with initial hemoglobin of 4.9 (units) with improvement in vital signs post blood transfusion. Initial CT abdomen/pelvis without [...]